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1548672454
ANDREA BASS
APO, AP
NPI
1548672454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
(Licence: VA 0001164538)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
ANDREA BASS
DEPT OF THE ARMY, BG SAMS, USAMEDDAC-JAPAN MCJA-NUR UNIT 45011
APO, AP 96338-5011
Phone number: 315-263-8206
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Mailing Address
ANDREA BASS
CMR 427 BOX 3927
APO, AE 09630-0040
Phone number:
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